April 2021 Technology Request Form
Please complete this form for EACH CHILD/TEEN from your family who requires a Chromebook for virtual learning. Please DO NOT complete this form for your child/teen if they already have a Chromebook from KPRDSB or if you already submitted a request. Thank you in advance for your partnership as we prepare for this transition to remote learning.

Requests received after Wednesday April 14th at 9PM will be part of an additional deployment window.
Email *
Student's First Name *
Student's Last Name *
Student's OEN *
Parent/Guardian Name *
Home School Affiliation *
I accept responsibility for the device and understand that the technology is on loan until Kawartha Pine Ridge District School Board requests the device be returned or the student returns back to face to face learning at which time this technology will need to be returned and is expected to be returned in the same condition as it was received. *
Required
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